Ọgwụgwọ kachasị mma maka endometritis na ụmụ nwanyị
Ọtụtụ ụmụ nwanyị nwere ike nweta endometritis n'amaghị ya. Ọtụtụ mgbe, ị nwere ike ịchọpụta banyere ọnụnọ nke ọrịa ahụ naanị mgbe nyocha nke ọkachamara n'ọrịa ụmụ nwanyị. Kedu ihe kpatara endometritis ji eme na otu esi agwọ ya nke ọma, jụọ ndị dọkịta

Endometritis bụ otu n'ime ọrịa mkpali pelvic na-emekarị na ụmụ nwanyị. Na enweghị ọgwụgwọ kwesịrị ekwesị, ọrịa ahụ nwere ike ịbanye na ọkwa na-adịghị ala ala ma mee ka ọ ghara ịmụ nwa.

N'ozuzu, endometritis bụ mbufụt nke lining nke akpanwa (endometrium). Ihe kpatara mmepe nke ọrịa ahụ bụ ọrịa dị iche iche na-efe efe nke na-abanye n'ime akpanwa - fungi, bacteria, nje1. Ọtụtụ mgbe, endometritis na-apụta megide ndabere nke mbelata n'ozuzu nke mgbochi.

Ihe ize ndụ maka mmepe nke endometritis:

  • mgbagwoju anya ịmụ nwa;
  • ntinye aka ọ bụla na oghere uterine (nchọpụta nchọpụta na ọgwụgwọ ọgwụgwọ, ime ime);
  • obere ọrịa genital tract;
  • ọrịa ndị a na-ebute site ná mmekọahụ (dị ka gonorrhea ma ọ bụ chlamydia);
  • microorganisms ndị ọzọ (microbacteria tuberculous, Escherichia coli, diphtheria bacillus, mycoplasma, streptococci, wdg);
  • adịghị agbaso iwu nke ịdị ọcha chiri anya.

Na nkà mmụta ọgwụ nke oge a, a na-amata ụdị ọrịa siri ike na nke na-adịghị ala ala.

Ọrịa endometritis

Na-eme na mberede, na-emekarị megide ndabere nke ntinye aka na akpanwa. A na-eji ya pụta ìhè nke ụlọ ọgwụ, n'ime ihe ịrịba ama nke ịṅụbiga mmanya ókè nke ahụ.

Mgbaàmà nke nnukwu endometritis:

  • mmụba dị nkọ na okpomọkụ;
  • akpata oyi;
  • na-adọkpụ ihe mgbu na ala ala (enwere ike inye mgbu na azụ azụ, coccyx, mpaghara inguinal);
  • adịghị ike n'ozuzu;
  • ọnwụ nke agụụ;
  • purulent ikpu igbapu.

Endometritis na-adịghị ala ala

Ụdị ọrịa na-adịghị ala ala na-abụkarị asymptomatic na-emekarị ma ọ bụrụ na enweghi ọgwụgwọ zuru oke nke nnukwu mbufụt.2.

- A maghị nke ọma gbasara endometritis na-adịghị ala ala. Dị ka ndị edemede anyị si kwuo, site na 1 ruo 70% nke ndị ọrịa na-amụghị nwa ma ọ bụ mgbe mgbalị ndị na-emeghị nke ọma iji kwụsị ime ime na-achọpụta na ha nwere endometritis na-adịghị ala ala. Endometritis na-adịghị ala ala nwere ike ibunye nje: nje, nje bacteria, ọrịa ndị a na-ebute site ná mmekọahụ, yana autoimmune. Mgbe nkwụsị nke ime ime, n'ọnọdụ ọ bụla, a na-eme nchọpụta nke "endometritis na-adịghị ala ala" - ndetu. Anna Dobychyna, obstetrician-gynecologist, dọkịta na-awa ahụ, osote onye dọkịta maka CER nke REMEDI Institute of Reproductive Medicine.

Mgbaàmà nke endometritis na-adịghị ala ala

  • nsogbu okirikiri nsọ nsọ;
  • obere mwụpụ n'ihu na mgbe ịhụ nsọ
  • enweghị afọ ime na ime ọpụpụ.

N'ikwu okwu banyere ọgwụgwọ nke endometritis, obstetrician-gynecologist na-edepụta ọgwụ ndị dabeere na ihe kpatara ọrịa ahụ. Ọ nwere ike ịbụ antibacterial, hormonal, metabolic therapy, physiotherapy ma ọ bụ mgbagwoju ọgwụ.

Ogologo oge ọgwụgwọ dabere na akụkọ ihe mere eme. Ọ bụrụ na onye ọrịa enweghị aka na uterine oghere, abortions, mgbe ahụ, otu ịhụ nsọ okirikiri zuru ezu na-emeso endometritis na-edepụta kwesịrị ekwesị hormonal nkwadebe.

N'ihe banyere akụkọ gbasara ọrịa gynecology dị arọ, ọgwụgwọ nwere ike ịdịru ọnwa 2-3.

1. Ọgwụ maka endometritis na ụmụ nwanyị

Ọgwụ nje bacteria

Na ọkwa mbụ nke ọgwụgwọ endometritis n'ime ụmụ nwanyị, a na-eji ọgwụ nje ndị na-eme ihe dị iche iche eme ihe. Ọkachamara anyị Anna Dobychina na-ekwu na a na-egosi ọgwụgwọ ọgwụ nje n'oge ime ime naanị n'ọnọdụ nyocha ụlọ nyocha nke microbial pathogen n'ime oghere uterine na titer dị ịrịba ama.

Iji na-agwọ endometritis n'ime ụmụ nwanyị, dọkịta nwere ike ịnye ọgwụ nje dị iche iche nwere ntinye cell dị elu. Ọgwụ ndị a gụnyere amoxicillin, clindamycin, gentamicin, ampicillin3. A na-atụ aro ọgwụgwọ ịmalite site na ụbọchị mbụ nke nsọ nsọ.

Antifungal ọgwụ

Maka mgbochi nke candidiasis megide ndabere nke iji ọgwụ nje mee ihe, a na-enye ọgwụ antifungal: Nystatin, Levorin, Miconazole, Ketoconazole, Itraconazole, Fluconazole na ndị ọzọ.

gosi ndị ọzọ

Ọgwụ antiviral

Na ọnụnọ nke nje virus mgbe ọgwụgwọ ọgwụ nje gasịrị, a na-eji ọgwụ antiviral na immunomodulatory, dị ka Acyclovir, Valciclovir, Viferon, Genferon.

gosi ndị ọzọ

2. Candles maka endometritis

Nhọrọ nke suppositories ikpu na-adabere na mgbaàmà na ụdị pathogen. Mgbe ị na-eji suppositories, ihe ndị na-arụ ọrụ adịghị abanye n'ime eriri afọ, kama ha na-abanye n'ime ọbara site na ikpu, nke na-ebelata ohere nke ịmepụta dysbacteriosis na mmetụta ọjọọ na imeju.

N'oge nnukwu ọrịa nke ọrịa ahụ, a na-eji ọgwụ suppositories na-egbochi mmepụta nke nje. N'ime ọgwụgwọ nke ụdị endometritis na-adịghị ala ala, a na-enyekwa ọgwụ mgbochi mkpali, immunostimulating, antiseptik suppositories, dị ka Diclofenac, Galavit, Terdinan, Livarol, Lidaza na ndị ọzọ.

A na-eji ọtụtụ ọgwụ dị iche iche na-agwọ ọnya nke akpanwa. N'ọnọdụ dị oke njọ nke ọrịa ahụ, a na-eji ọgwụ nje bacteria na-eme ihe. A na-enyekarị ọgwụ suppositories dị ka ọgwụgwọ adjuvant.

gosi ndị ọzọ

3. ọgwụgwọ metabolic

Usoro ọgwụgwọ metabolic bụ usoro ọgwụgwọ nke abụọ, nke a na-achọ iwepụ mmebi nke abụọ, gụnyere nsogbu metabolic. A na-atụ aro iji vitamin, antioxidants, hepatoprotectors na enzymes (Wobenzym, Phlogenzym).

gosi ndị ọzọ

4. Nnyocha anụ ahụ

Dị ka obstetrician-gynecologist Anna Dobychina si kwuo, na ọgwụgwọ nke endometritis, usoro physiotherapy nwere mmetụta dị ukwuu: magnets, lasers, na ultrasounds. Ọrụ nke physiotherapy na nke a bụ imeziwanye ọbara na-erugharị nke akụkụ pelvic, meziwanye usoro nke ịmaliteghachi nke endometrium, yana ịbawanye nchebe nchebe.4.

5. Hormone ọgwụgwọ

A na-eji ọgwụgwọ Hormone mee ihe n'ọnọdụ ụfọdụ iji nọgide na-edozi ma na-edozi uto nke endometrium. Dị ka a na-achị, na nke a, a na-enye ọgwụ mgbochi ọnụ ọnụ, dịka ọmụmaatụ, Regulon na Novinet. Mgbe ị na-eme atụmatụ ime, a na-eji progesterone mee ihe.

Mgbochi nke endometritis

Iji gbochie endometritis na ụmụ nwanyị, nke mbụ, ọ dị mkpa itinye aka na mgbochi nke ọrịa ndị a na-ebute site ná mmekọahụ: belata ọnụ ọgụgụ nke mmekọahụ, na-eji condom, na-ewere swabs mgbe nile maka ọrịa, na n'ọnọdụ nke ọrịa, na-enweta ọgwụgwọ oge. Otu akụkụ dị mkpa bụ mgbochi ime ime, yabụ na ị ga-eji okwu mgbochi ime ihe kpọrọ ihe.

- N'ezie, afọ ime na-adịghị etolite bụ ihe siri ike igbochi, ya mere, ọ bụrụ na nke a emee, ọ dị mkpa ka a na-elekọta ya mgbe niile ma na-agbaso ndụmọdụ niile nke obstetrician-gynecologist. Nke a ga-ebelata ihe ize ndụ n'ọdịnihu,” ka Anna Dobychyna na-ekwu.

Ajụjụ na azịza ndị ama ama

A na-aza ajụjụ ndị a ma ama gbasara endometritis na ụmụ nwanyị dọkịta na-awa, obstetrician-gynecologist nke European Medical Center Oleg Larionov.

Kedu ihe na-akpata endometritis?

– Nke mbụ, ọ bara uru ikewa endometritis, ọ bụghị metụtara ime, na endometritis, nke bụ mgbagwoju anya mgbe amuchara nwa, nke a na-akpọ postportal endometritis. Ihe dị iche na microflora na-akpata ọrịa ahụ.

Endometritis mgbe amuchara nwa bụ ihe a na-ahụkarị. Ihe kpatara ya bụ microflora, nke nwere ike ịdị na ikpu, ma ọ dịghị abanye na gburugburu ebe obibi na-adịghị mma nke oghere uterine mgbe a na-amụ nwa. Site na endometritis postporal, a na-enwe nnukwu mgbu n'ime afọ dị ala, nke na-ebupụta purulent ma ọ bụ ọbara na-agbapụta site na akụkụ genital, okpomọkụ ahụ na-ebili, na ọnụọgụ obi na-abawanye.  

Endometritis, nke anaghị ejikọta ya na afọ ime na ịmụ nwa, na-abụkarị ihe a na-ebute site na mmekọahụ. Ihe na-ebute ya bụ chlamydia, gonorrhea na ụfọdụ ọrịa ndị ọzọ. Ọzọkwa, ihe kpatara ya nwere ike ịbụ enyemaka ahụike, dịka ọmụmaatụ, ntinye nke ngwaọrụ intrauterine, hysteroscopy na ọgwụgwọ nke akpanwa, ime ime.

Gịnị mere endometritis ji dị ize ndụ?

– Ihe ga-esi na ya pụta na nsogbu nke endometritis gụnyere: ihe ize ndụ dị ukwuu nke enweghị ọmụmụ, afọ ime ectopic, mgbu pelvic na-adịghị ala ala, na endometritis na-agaghachi. Endometritis na-adịghị ala ala nwere ike ime ka mmebi nke usoro ime afọ ime, dịka ọmụmaatụ, ime ọpụpụ na-apụtaghị ìhè, ịmụ nwa akaghi aka, mgbawa nke mmiri ọmụmụ.

Ogologo oge ole ka a na-agwọ endometritis?

- Ọgwụgwọ nke endometritis bụ nhọpụta nke ọgwụ nje. Kedu nke - dabere n'ụdị endometritis. Ogologo oge ọgwụgwọ na-abụkarị ụbọchị 10-14. Otú ọ dị, ọ bụrụ na ọgwụgwọ nke nnukwu endometritis ọganihu dị ịrịba ama emebeghị n'ime awa 24-48 na-esote, mgbe ahụ ị kwesịrị iche echiche banyere ịgbanwe ọgwụgwọ ọgwụ nje.
  1. Serebrennikova KG, Babichenko II, Arutyunyan NA New na nchoputa na ọgwụgwọ nke na-adịghị ala ala endometritis na infertility. Gynecology. 2019; 21 (1): 14-18 . https://cyberleninka.ru/article/n/novoe-v-diagnostike-i-terapii-hronicheskogo-endometrita-pri-besplodii
  2. Plyasunova MP, Khlybova SV, Chicherina EN ntụle ntụle nke ultrasound na Doppler parameters na endometritis na-adịghị ala ala. Ultrasonic na nyocha ọrụ. 2014: 57-64. https://cyberleninka.ru/article/n/effekty-kompleksnoy-fizioterapii-pri-chronicheskom-endometrite-ultrazvukovaya-i-dopplerometricheskaya-otsenka
  3. Zarochentseva NV, Arshakyan AK, Menshikova NS, Titchenko Yu.P. Endometritis na-adịghị ala ala: etiology, ụlọ ọgwụ, nchoputa, ọgwụgwọ. Akwụkwọ akụkọ Russian nke obstetrician-gynecologist. 2013; 13 (5): 21-27 . https://cyberleninka.ru/article/n/hronicheskiy-endometrit-puti-resheniya-problemy-obzor-literatury
  4. Nazarenko TA, Dubnitskaya LV Ohere nke usoro ọgwụgwọ enzyme nke endometritis na-adịghị ala ala na ndị ọrịa nke afọ ịmụ nwa. Nsogbu nke mmeputakwa 2007; 13 (6): 25-28 . https://gynecology.orscience.ru/2079-5831/article/view/27873

Nkume a-aza